Physician
Heritage Pediatrics LLC
Heritage Pediatrics LLC was paid $890K by Medicaid between Jan 2020 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoHERITAGE PEDIATRICS LLC
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
33aNPI1982240941assigned 11/25/2019
33bProvider typePediatrics Physician
28Total paid$890K
24GClaims20,255
24DCodes billed39
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#96 of 199
Median peer was paid$702K
This provider vs. median1.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 3,014 | $111K | |
| 2021 | 5,134 | $223K | |
| 2022 | 4,141 | $182K | |
| 2023 | 4,413 | $202K | |
| 2024incomplete | 3,553 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 4,570 | 4,160 | $301K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 32% | 2,870 | 2,674 | $281K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 1,070 | 1,012 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 1,063 | 1,024 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 533 | 517 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 1,259 | 793 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 554 | 512 | $15K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 675 | 615 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 164 | 157 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 731 | 702 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 107 | 81 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.0% | 218 | 212 | $9K |
27 more codes
| 99173 | <1% | 1,508 | $7K | |
| 90670 | <1% | 732 | $6K | |
| 90723 | <1% | 581 | $5K | |
| 90647 | <1% | 513 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 74 | $5K |
| 90680 | <1% | 430 | $4K | |
| 90633 | <1% | 273 | $3K | |
| 90671 | <1% | 131 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | $2K |
| 96161 | <1% | 630 | $2K | |
| 90686 | <1% | 216 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 74 | $1K |
| 0001A | <1% | 35 | $1K | |
| 96127 | <1% | 406 | $1K | |
| 87807 | <1% | 112 | $1K | |
| 90688 | <1% | 60 | $1K | |
| 0002A | <1% | 22 | $880.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $820.26 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 56 | $807.20 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 79 | $720.00 |
| 90651 | <1% | 32 | $428.22 | |
| 90700 | <1% | 53 | $416.00 | |
| 36416 | <1% | 180 | $400.00 | |
| 99000 | <1% | 78 | $206.50 | |
| 90710 | <1% | 12 | $202.11 | |
| 85018 | <1% | 16 | $3.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 32 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUFFIN, CHANTE (PHYSICIAN OWNER)